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Wuhan is the latest crisis to face China's Xi, and it's exposing major flaws in his model of control – CNN

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“SARS forced the whole country to pay attention to the livelihood of the people,” he said, before adding a warning. “We’ve made huge progress, but our footsteps are slow, especially in terms of healthcare.”
With the Wuhan coronavirus spreading across the country, killing at least 25 people so far, China is now facing a major test of just how much it has changed since 2003, both in terms of the healthcare system’s ability to react to a new deadly pathogen — and crucially, how the central government handles the developing crisis.
Speaking this week, Chinese President Xi Jinping ordered “all-out efforts” to contain the virus’ spread and treat those affected. His intervention seemed to carry with it a clear message: the mistakes of SARS will not be repeated.
Wuhan is only the latest crisis to face Xi since he secured personal control of the Communist Party, joining the US-China trade war, ongoing anti-government unrest in Hong Kong, and the recent Taiwan election, in which Tsai Ing-wen, much loathed by Beijing, handily won re-election against a more pro-China candidate.
More than any leader since Mao Zedong, Xi has centralized power around himself. He is the state, and while this gives him immense control, it also means that every crisis is a test of his leadership — Wuhan perhaps most of all, as the country looks to their leader for reassurance and confidence.
Since Xi’s statement, efforts to control the virus have ramped up nationwide, with health authorities ordering the highest level response, typically used to tackle outbreaks of plague or cholera. On Thursday, Wuhan itself — all 11 million people — was partially quarantined, with public transport “temporarily suspended,” including all planes and trains departing the city.
In state media, editorials urged greater transparency and lauded the central government’s quick response and that of Chinese scientists and doctors, who quickly released the virus’ genome in order to aid the work of other researchers worldwide in coming up with a vaccine.
Despite the laudatory efforts of Chinese healthcare workers, however, and forceful statements from Beijing, allegations of an initial — and potentially even ongoing — cover-up continue to hang over the Wuhan outbreak.
This virus could have been China’s chance to exorcise the ghosts of SARS once and for all, instead it may have exposed that, for all the progress in the past 17 years, fundamental flaws remain in place when it comes to handling a crisis like this — ones that could result in far greater danger in future.
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Crisis and cover-up

The first cases of what would later be called severe acute respiratory syndrome (SARS) were identified in southern China in November 2002. The virus would go on to infect more than 8,000 people worldwide, the majority of them in China.
Even as the deadly pathogen spread throughout Guangdong province, however, media reports were censored and patients and their families prevented from speaking out. If they addressed the issue at all, officials downplayed it, unwilling to risk upsetting the economy or “social stability” — important metrics for future promotion.
It was not until whisteblower Jiang Yanyong, a retired Chinese army doctor, came forward in early 2003 that much of China and the rest of the world became aware of the true danger — by which time SARS had already spread widely. The virus was soon declared a “global threat” by the World Health Organization (WHO) and efforts to contain its spread were put in place worldwide.
In the months that followed, China’s government officially apologized for its slow reporting of the outbreak, and the country’s health minister was sacked, along with the mayor of Beijing at the time. “Never again” was the message of the day, one that has been repeated ad nauseum regarding the Wuhan virus.
While the Communist Party’s grasp on power in China has grown stronger than ever under Xi, it’s popular legitimacy is much more fragile. The SARS scandal, and similarly mishandled crises such as the 2008 Sichuan earthquake, had a devastating effect on that legitimacy, greatly alarming officials who place “stability” above all else.
Xi’s gathering of power around himself also means the Wuhan crisis will be more of a test of his personal control of the Party and country — and of the highly-centralized system he’s put in place in recent years.
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Initial problems

By a number of measures, China’s handling of the current crisis has been infinitely better than during SARS. Authorities in Wuhan alerted the public to the new virus in mid-December, soon after the first cases were identified. Xi’s statement four weeks later drastically boosted the response and publicized the risk.
In 2003, by comparison, it was over two months after the first patients were diagnosed with SARS that the WHO was alerted — by a whistleblower, not the Chinese authorities — of a “strange contagious disease” that has “already left more than 100 people dead.”
But behind this outwardly competent handling of a crisis there are signs of a deeper problem.
One of the oldest cliches in Chinese politics is that “the mountains are high and the emperor is far away.” Despite being an intensely centralized state, provincial authorities do not always act as Beijing would prefer, nor do commandments from on high — to crack down on corruption or reign in pollution, or to increase transparency — always trickle down to the provinces.
While unconfirmed, there are numerous indications that officials in Wuhan downplayed the risks of the virus for several weeks, delaying proper action and potentially increasing its spread.
Though the first case was detected on December 8 — it was not until January 14 that officials in Wuhan introduced any screening measures. In the intervening period, a major meeting of the Hubei provincial party was held in the city, and more than 40,000 families were invited to attend a banquet in an attempt to set a world record.
Speaking to state media, Wuhan officials downplayed the danger, saying the virus was unlikely to be spread from human to human. State officials initially repeated this assessment: Wang Guangfa, head of a team of researchers sent from Beijing to investigate the situation, said on January 11 that it was under control — he has since been diagnosed with the virus.
At the same time, Wuhan authorities also tried to clamp down on discussion of the virus. State media reported that police arrested eight people in early January for spreading “rumors” that the virus was related to SARS, something which has since been confirmed by health authorities.
Even as researchers in the UK estimated that the initial spread of the virus could have affected at least 1,700 people, no new cases were reported in Wuhan itself, despite patients being identified in other countries. “Does the virus only affect overseas travelers?” people asked darkly on Chinese social media, where accusations of a cover-up quickly spread and were censored.
It was not until inspectors sent from Beijing had assessed the situation that the alarm was properly raised. In an interview with state broadcaster CCTV, Zhong Nanshan, the SARS hero, said there was “definitely human-to-human transmission,” and warned the infection rate was “climbing.”
Passengers who arrived on one of the last flights from the Chinese city of Wuhan walk through a health screening station at Narita airport in Chiba prefecture, outside Tokyo, on January 23, 2020.

Worst possible timing

Speaking to state media this week, Wuhan Mayor Zhou Xianwang admitted that the city’s “warnings were not sufficient.”
Whether because of bureaucratic incompetence or a politically-motivated cover-up, the delay could not have come at a worse time. China is currently in the middle of the Lunar New Year travel rush, in which hundreds of millions of people move across the country, packed close together on trains, coaches and planes.
Revelations about the true spread and severity of the virus only came after the four-week travel period had got underway, and restrictions on people leaving Wuhan itself did not come into place until Thursday. One woman identified as having the virus in South Korea even told health officials there that she visited a doctor in Wuhan with symptoms — after screening measures were introduced — but got sent on her way and was able to leave the country.
The pervasive censorship of the Chinese press and internet undoubtedly played a role in this, as did Xi’s years-long crackdown on civil society groups, forcing people to rely on official accounts and the transparency of officials whose own motivations are often completely apposite.
Once Xi intervened, essentially signaling that the Wuhan virus was fair game for Chinese media, reporters rushed to the scene. Both Caixin and the Beijing News — some of the most independently minded outlets in the country — quickly began producing in-depth coverage, some of which exposed oversights by local officials and punched holes in their narrative. Writing on WeChat from Wuhan, Caixin reporter Gao Yu compared the situation to SARS, saying that “the lack of transparency, public supervision and truth (have) caused huge damage to public safety.”
China learned hard lessons in 2003 at a terrible cost. The legacy of SARS could be seen in the central government’s response this month, and that of Chinese scientists, both of which deserve a great deal of credit.
But Xi has also reversed gradual liberalization and opening up which occurred post-SARS, massively centralizing power within the Communist Party once again. At the same time, he has overseen a crackdown on the internet, the press and civil society, and an anti-corruption purge that, while it has turfed out plenty of bad apples, may also have left provincial officials more afraid of angering Beijing.
Xi is the closest China has had to an emperor since Mao, but like the old saying goes, he’s often far away. The Wuhan virus shows what happens when the country has to rely on information filtering up to the top for decisive action to be taken.

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Health Canada approves updated Moderna COVID-19 vaccine

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TORONTO – Health Canada has authorized Moderna’s updated COVID-19 vaccine that protects against currently circulating variants of the virus.

The mRNA vaccine, called Spikevax, has been reformulated to target the KP.2 subvariant of Omicron.

It will replace the previous version of the vaccine that was released a year ago, which targeted the XBB.1.5 subvariant of Omicron.

Health Canada recently asked provinces and territories to get rid of their older COVID-19 vaccines to ensure the most current vaccine will be used during this fall’s respiratory virus season.

Health Canada is also reviewing two other updated COVID-19 vaccines but has not yet authorized them.

They are Pfizer’s Comirnaty, which is also an mRNA vaccine, as well as Novavax’s protein-based vaccine.

This report by The Canadian Press was first published Sept. 17, 2024.

Canadian Press health coverage receives support through a partnership with the Canadian Medical Association. CP is solely responsible for this content.

The Canadian Press. All rights reserved.

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These people say they got listeria after drinking recalled plant-based milks

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TORONTO – Sanniah Jabeen holds a sonogram of the unborn baby she lost after contracting listeria last December. Beneath, it says “love at first sight.”

Jabeen says she believes she and her baby were poisoned by a listeria outbreak linked to some plant-based milks and wants answers. An investigation continues into the recall declared July 8 of several Silk and Great Value plant-based beverages.

“I don’t even have the words. I’m still processing that,” Jabeen says of her loss. She was 18 weeks pregnant when she went into preterm labour.

The first infection linked to the recall was traced back to August 2023. One year later on Aug. 12, 2024, the Public Health Agency of Canada said three people had died and 20 were infected.

The number of cases is likely much higher, says Lawrence Goodridge, Canada Research Chair in foodborne pathogen dynamics at the University of Guelph: “For every person known, generally speaking, there’s typically 20 to 25 or maybe 30 people that are unknown.”

The case count has remained unchanged over the last month, but the Public Health Agency of Canada says it won’t declare the outbreak over until early October because of listeria’s 70-day incubation period and the reporting delays that accompany it.

Danone Canada’s head of communications said in an email Wednesday that the company is still investigating the “root cause” of the outbreak, which has been linked to a production line at a Pickering, Ont., packaging facility.

Pregnant people, adults over 60, and those with weakened immune systems are most at risk of becoming sick with severe listeriosis. If the infection spreads to an unborn baby, Health Canada says it can cause miscarriage, stillbirth, premature birth or life-threatening illness in a newborn.

The Canadian Press spoke to 10 people, from the parents of a toddler to an 89-year-old senior, who say they became sick with listeria after drinking from cartons of plant-based milk stamped with the recalled product code. Here’s a look at some of their experiences.

Sanniah Jabeen, 32, Toronto

Jabeen says she regularly drank Silk oat and almond milk in smoothies while pregnant, and began vomiting seven times a day and shivering at night in December 2023. She had “the worst headache of (her) life” when she went to the emergency room on Dec. 15.

“I just wasn’t functioning like a normal human being,” Jabeen says.

Told she was dehydrated, Jabeen was given fluids and a blood test and sent home. Four days later, she returned to hospital.

“They told me that since you’re 18 weeks, there’s nothing you can do to save your baby,” says Jabeen, who moved to Toronto from Pakistan five years ago.

Jabeen later learned she had listeriosis and an autopsy revealed her baby was infected, too.

“It broke my heart to read that report because I was just imagining my baby drinking poisoned amniotic fluid inside of me. The womb is a place where your baby is supposed to be the safest,” Jabeen said.

Jabeen’s case is likely not included in PHAC’s count. Jabeen says she was called by Health Canada and asked what dairy and fresh produce she ate – foods more commonly associated with listeria – but not asked about plant-based beverages.

She’s pregnant again, and is due in several months. At first, she was scared to eat, not knowing what caused the infection during her last pregnancy.

“Ever since I learned about the almond, oat milk situation, I’ve been feeling a bit better knowing that it wasn’t something that I did. It was something else that caused it. It wasn’t my fault,” Jabeen said.

She’s since joined a proposed class action lawsuit launched by LPC Avocates against the manufacturers and sellers of Silk and Great Value plant-based beverages. The lawsuit has not yet been certified by a judge.

Natalie Grant and her seven year-old daughter, Bowmanville, Ont.

Natalie Grant says she was in a hospital waiting room when she saw a television news report about the recall. She wondered if the dark chocolate almond milk her daughter drank daily was contaminated.

She had brought the girl to hospital because she was vomiting every half hour, constantly on the toilet with diarrhea, and had severe pain in her abdomen.

“I’m definitely thinking that this is a pretty solid chance that she’s got listeria at this point because I knew she had all the symptoms,” Grant says of seeing the news report.

Once her daughter could hold fluids, they went home and Grant cross-checked the recalled product code – 7825 – with the one on her carton. They matched.

“I called the emerg and I said I’m pretty confident she’s been exposed,” Grant said. She was told to return to the hospital if her daughter’s symptoms worsened. An hour and a half later, her fever spiked, the vomiting returned, her face flushed and her energy plummeted.

Grant says they were sent to a hospital in Ajax, Ont. and stayed two weeks while her daughter received antibiotics four times a day until she was discharged July 23.

“Knowing that my little one was just so affected and how it affected us as a family alone, there’s a bitterness left behind,” Grant said. She’s also joined the proposed class action.

Thelma Feldman, 89, Toronto

Thelma Feldman says she regularly taught yoga to friends in her condo building before getting sickened by listeria on July 2. Now, she has a walker and her body aches. She has headaches and digestive problems.

“I’m kind of depressed,” she says.

“It’s caused me a lot of physical and emotional pain.”

Much of the early days of her illness are a blur. She knows she boarded an ambulance with profuse diarrhea on July 2 and spent five days at North York General Hospital. Afterwards, she remembers Health Canada officials entering her apartment and removing Silk almond milk from her fridge, and volunteers from a community organization giving her sponge baths.

“At my age, 89, I’m not a kid anymore and healing takes longer,” Feldman says.

“I don’t even feel like being with people. I just sit at home.”

Jasmine Jiles and three-year-old Max, Kahnawake Mohawk Territory, Que.

Jasmine Jiles says her three-year-old son Max came down with flu-like symptoms and cradled his ears in what she interpreted as a sign of pain, like the one pounding in her own head, around early July.

When Jiles heard about the recall soon after, she called Danone Canada, the plant-based milk manufacturer, to find out if their Silk coconut milk was in the contaminated batch. It was, she says.

“My son is very small, he’s very young, so I asked what we do in terms of overall monitoring and she said someone from the company would get in touch within 24 to 48 hours,” Jiles says from a First Nations reserve near Montreal.

“I never got a call back. I never got an email”

At home, her son’s fever broke after three days, but gas pains stuck with him, she says. It took a couple weeks for him to get back to normal.

“In hindsight, I should have taken him (to the hospital) but we just tried to see if we could nurse him at home because wait times are pretty extreme,” Jiles says, “and I don’t have child care at the moment.”

Joseph Desmond, 50, Sydney, N.S.

Joseph Desmond says he suffered a seizure and fell off his sofa on July 9. He went to the emergency room, where they ran an electroencephalogram (EEG) test, and then returned home. Within hours, he had a second seizure and went back to hospital.

His third seizure happened the next morning while walking to the nurse’s station.

In severe cases of listeriosis, bacteria can spread to the central nervous system and cause seizures, according to Health Canada.

“The last two months have really been a nightmare,” says Desmond, who has joined the proposed lawsuit.

When he returned home from the hospital, his daughter took a carton of Silk dark chocolate almond milk out of the fridge and asked if he had heard about the recall. By that point, Desmond says he was on his second two-litre carton after finishing the first in June.

“It was pretty scary. Terrifying. I honestly thought I was going to die.”

Cheryl McCombe, 63, Haliburton, Ont.

The morning after suffering a second episode of vomiting, feverish sweats and diarrhea in the middle of the night in early July, Cheryl McCombe scrolled through the news on her phone and came across the recall.

A few years earlier, McCombe says she started drinking plant-based milks because it seemed like a healthier choice to splash in her morning coffee. On June 30, she bought two cartons of Silk cashew almond milk.

“It was on the (recall) list. I thought, ‘Oh my God, I got listeria,’” McCombe says. She called her doctor’s office and visited an urgent care clinic hoping to get tested and confirm her suspicion, but she says, “I was basically shut down at the door.”

Public Health Ontario does not recommend listeria testing for infected individuals with mild symptoms unless they are at risk of developing severe illness, such as people who are immunocompromised, elderly, pregnant or newborn.

“No wonder they couldn’t connect the dots,” she adds, referencing that it took close to a year for public health officials to find the source of the outbreak.

“I am a woman in my 60s and sometimes these signs are of, you know, when you’re vomiting and things like that, it can be a sign in women of a bigger issue,” McCombe says. She was seeking confirmation that wasn’t the case.

Disappointed, with her stomach still feeling off, she says she decided to boost her gut health with probiotics. After a couple weeks she started to feel like herself.

But since then, McCombe says, “I’m back on Kawartha Dairy cream in my coffee.”

This report by The Canadian Press was first published Sept. 16, 2024.

Canadian Press health coverage receives support through a partnership with the Canadian Medical Association. CP is solely responsible for this content.

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B.C. mayors seek ‘immediate action’ from federal government on mental health crisis

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VANCOUVER – Mayors and other leaders from several British Columbia communities say the provincial and federal governments need to take “immediate action” to tackle mental health and public safety issues that have reached crisis levels.

Vancouver Mayor Ken Sim says it’s become “abundantly clear” that mental health and addiction issues and public safety have caused crises that are “gripping” Vancouver, and he and other politicians, First Nations leaders and law enforcement officials are pleading for federal and provincial help.

In a letter to Prime Minister Justin Trudeau and Premier David Eby, mayors say there are “three critical fronts” that require action including “mandatory care” for people with severe mental health and addiction issues.

The letter says senior governments also need to bring in “meaningful bail reform” for repeat offenders, and the federal government must improve policing at Metro Vancouver ports to stop illicit drugs from coming in and stolen vehicles from being exported.

Sim says the “current system” has failed British Columbians, and the number of people dealing with severe mental health and addiction issues due to lack of proper care has “reached a critical point.”

Vancouver Police Chief Adam Palmer says repeat violent offenders are too often released on bail due to a “revolving door of justice,” and a new approach is needed to deal with mentally ill people who “pose a serious and immediate danger to themselves and others.”

This report by The Canadian Press was first published Sept. 16, 2024

The Canadian Press. All rights reserved.

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